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  • 1. THE RESIDENCY REVIEW COMMITTEE FOR EMERGENCY MEDICINE 515 N State, Ste 2000, Chicago, IL 60654 • (312) 755-5000 • www.acgme.org FOR CONTINUED ACCREDITATION – PEDIATRIC EMERGENCY MEDICINE GENERAL INSTRUCTIONS REVIEW OF AN ACCREDITED PROGRAM OR RE-ACCREDITATION OF A PROGRAM: If the Program Information Form (PIF) is being completed for a currently accredited program, follow the provided instructions to create the correct form. Go to the Accreditation Data System found on the ACGME home page (www.acgme.org) under Data Collection Systems. Using your previously assigned User ID and password, proceed to the PIF Preparation section on the left hand menu and update the Common PIF data. Most data are updated through annual updates, but some information is required at the time of site visit only. Once the data entry is complete, select Generate PIF to review and print the Common PIF (PDF). Pages will be numbered consecutively in the bottom center of each page. Once the Common PIF is complete, proceed to the appropriate Residency Review Committee webpage to retrieve the Specialty Specific PIF for CONTINUED ACCREDITATION. Once the forms are complete, enter page numbers for the Continued PIF in the bottom center for each page that consecutively follows the Common PIF numbering, combine the Common PIF and the Continued Accreditation PIF and complete the Table of Contents (found with the Specialty Specific PIF instructions). After completing the PIF/documents, make four copies. They must be identical and final. Draft copies are not acceptable. The forms should be submitted bound by either sturdy rubber bands or binder clips. Do not place the forms in covers such as two or three ring binders, spiral bound notebooks, or any other form of binding. Mail one set of the completed forms to the site visitor at least 14 days before the site visit. The remaining three sets should be provided to the site visitor on the day of the visit. The program director is responsible for the accuracy of the information supplied in this form and must sign it. It must also be signed by the designated institutional official of the sponsoring institution. Review the Program Requirements for Residency Education in Pediatric Emergency Medicine. The Program Requirements and the Institutional Requirements may be downloaded from the ACGME website (www.acgme.org): For questions regarding: -the completion of the form (content), contact the Accreditation Administrator. -the Accreditation Data System, email WebADS@acgme.org. For a glossary of terms, use the following link – http://www.acgme.org/acWebsite/GME_info/gme_glossary.asp Pediatric Emergency Medicine Continued Accreditation i
  • 2. Have the following documents available for the site visitor: References to Common Program and Institutional Requirements are in parentheses. 1. Policy for supervision of residents (addressing resident responsibilities for patient care, progressive responsibilities for patient management, and faculty responsibility for supervision) (CPR IV.A.4) 2. Program policies and procedures for residents’ duty hours and work environment (CPR II.A.4.j; CPR VI.C; IR II.D.4.i; IR III.B.3) 3. Moonlighting policy (CPR II.A.4.j; CPR VI.F) 4. Documentation of internal review (date, participants’ titles, type of data collected, and date of review by the GMEC) 5. Overall educational goals for the program (CPR IV.A.1) 6. Competency-based goals and objectives for each assignment at each educational level (CPR IV.A.2) 7. Current Program Letters of Agreement (PLAs) (CPR I.B.1) 8. Files of current residents who have transferred into the program, if applicable (including documentation of previous experiences and summative competency-based performance evaluations) (CPR III.C.1) 9. Evaluations of residents at the completion of each assignment (CPR V.A.1.a) 10. Evaluations showing use of multiple evaluators (faculty, peers, patients, self, and other professional staff) (CPR V.A.1.b.(2)) 11. Documentation of residents’ semiannual evaluations of performance with feedback (CPR II.A.4.g; V.A.1.b.(4)) 12. Final (summative) evaluation of residents, documenting performance during the final period of education and verifying that the resident has demonstrated sufficient competence to enter practice without direct supervision (CPR V.A.2) 13. Completed annual written confidential evaluations of faculty by the residents (CPR V.B. 3) 14. Completed annual written confidential evaluations of the program by the residents (CPR V.C.1.d. (1)) 15. Completed annual written confidential evaluations of the program by the faculty (CPR V.C.1.d. (1)) 16. Documentation of program evaluation and written improvement plan (CPR V.C) 17. Documentation of resident duty hours (CPR II.A.4.j; VI.D.1-3) 18. Files of current residents and most recent program graduates 19. Documentation of conference attendance Single Program Sponsors only: 1. Copy of the resident contract with the pertinent items from the Institutional Requirements and Master Affiliation Agreements (IR II.D.4) 2. Institutional policy for recruitment, appointment, eligibility, and selection of residents (IR II.A) 3. Institutional policy for discipline and dismissal of residents, including due process (IR II.D.4.e; IR III.B.7) Pediatric Emergency Medicine Continued Accreditation ii
  • 3. THE RESIDENCY REVIEW COMMITTEE FOR EMERGENCY MEDICINE 515 N State, Ste 2000, Chicago, IL 60654 • (312) 755-5000 • www.acgme.org Program Name: TABLE OF CONTENTS When you have the completed forms, number each page sequentially in the bottom center. Record this pagination in the Table of Contents and submit this cover page with the completed PIF. Common PIF1 Page(s) Accreditation Information Response to Previous Citations Participating Sites Single Program Sponsoring Institutions (If applicable) Program Personnel and Resources Program Director Information Physician Faculty Roster Faculty Curriculum Vitae Non Physician Faculty Roster Non Physician Faculty Curriculum Vitae Resident Appointments Evaluation (Residents, Faculty, Program) Resident Duty Hours Specialty Specific PIF Page(s) Faculty Research Research Resources Program Curriculum Block Diagram Goals and Objectives Conferences Scholarship Oversight Committee Fellow Research Activities Program Personnel and Resources Other Program Personnel Resources Patient Care Patient Population List of Diagnoses (Pediatric) List of Diagnoses (Adult) Prehospital Care Resuscitations Procedures Medical Knowledge Specialty Experiences Practiced-based Learning and Improvement Pediatric Emergency Medicine Continued Accreditation 1
  • 4. Specialty Specific PIF Page(s) Interpersonal and Communication Skills Professionalism Pediatric Emergency Medicine Continued Accreditation 2
  • 5. THE RESIDENCY REVIEW COMMITTEE FOR EMERGENCY MEDICINE 515 N State, Ste 2000, Chicago, IL 60654 • (312) 755-5000 • www.acgme.org COMMON SUBSPECIALTY PROGRAM INFORMATION FORM H. FACULTY RESEARCH 1. Complete the table below regarding the involvement of faculty in research. Add rows as necessary. # presentations at national scientific meetings in the last 5 years # publications in peer review journals in the last 5 years Program Director: Pediatric Emergency Medicine Faculty: 2. List active research projects in the subspecialty. Project title Funding source Put an “X for funding awarded by peer review process Years of funding (dates) Faculty investigator and role in grant (i.e. PI, Co- PI, Co-investigator) I. RESEARCH RESOURCES 1. Does the program provide research laboratory space and equipment? (if appropriate) ............................................................................................................................( ) YES ( ) NO 2. Does the program provide financial support for research?...................................( ) YES ( ) NO 3. Does the program provide computer and statistical consultation services?.........( ) YES ( ) NO Pediatric Emergency Medicine Continued Accreditation 3
  • 6. J. PROGRAM CURRICULUM 1. Block Diagram The purpose of a block diagram is to give the Residency Review Committee an overview of what takes place during each year of training. EXPERIENCES OF ROTATIONS • In each one month or 4 week block indicate the following: (1) the learning activity (i.e., Trauma) or vacation, (2) percentage of clinical (C) and research (R) time (i.e., 50% C; 50% R) (3) the site in which the activity occurs (i.e., HOSP1, HOSP 2 or OTHER – clinical site or office) as designated in Section 2 of this form. • Provide a key/legend for the abbreviations used (i.e., ED = Emergency Department), DUTY HOURS • In the row requesting duty hours, report (1) the usual number of hours/week worked and (2) the longest consecutive hours during that week. • Indicate whether call is call from home (H) or in-house call (IH). • Asterisk the rotations that are call free. Example Month/4wk 1 2 3 4 5 6 7 8 9 10 11 12 13 Experience or rotations ED 100% (C) HOSP1 ED 100% (C) HOSP1 ED 100% (C) HOSP1 Anes 100% (C) HOSP1 Trauma 100% (C) HOSP2 ELEC 100% (C) HOSP1 ELEC 100% (C) HOSP1 ELEC 100% (C) HOSP2 Research 20% (C) 80% (R) HOSP1 Research 100% (R) HOSP2 Research 100% (R) HOSP1 VAC N/A Duty Hours 70/20 IH 70/10 IH 70/10 IH 80/24 IH 85/30 IH 70/30 IH 70/30 IH 80/30 H 60/20 * 60 * 60 * Pediatric Emergency Medicine Continued Accreditation 4
  • 7. a) Block Diagram for Pediatric Trained Graduates FIRST YEAR BLOCK DIAGRAM Month/4wk 1 2 3 4 5 6 7 8 9 10 11 12 13 Experience or rotations Duty Hours SECOND YEAR BLOCK DIAGRAM Month/4wk 1 2 3 4 5 6 7 8 9 10 11 12 13 Experience or rotations Duty Hours THIRD YEAR BLOCK DIAGRAM Month/4wk 1 2 3 4 5 6 7 8 9 10 11 12 13 Experience or rotations Duty Hours Total number of clinical months _____________ Total number of research months ____________ If there are any exceptions to the fellowship program as outlined above for any of the current fellows, describe these exceptions below (Insert text in box.): Limit response to 50 words Pediatric Emergency Medicine Continued Accreditation 5
  • 8. b) Block Diagram for Emergency Medicine Trained Graduates FIRST YEAR BLOCK DIAGRAM Month/4wk 1 2 3 4 5 6 7 8 9 10 11 12 13 Experience or rotations Duty Hours SECOND YEAR BLOCK DIAGRAM Month/4wk 1 2 3 4 5 6 7 8 9 10 11 12 13 Experience or rotations Duty Hours Total number of clinical months _____________ Total number of research months ____________ If there are any exceptions to the fellowship program as outlined above for any of the current fellows, describe these exceptions below (Insert text in box.): Limit response to 50 words Pediatric Emergency Medicine Continued Accreditation 6
  • 9. 2. Goals and Objectives A complete set of goals and objectives must be available for the site visitor. Choose as a sample the goals and objectives for one clinical rotation and attach it to the PIF as Appendix A (do not append all of the goals and objectives). For new applications, submit the complete set of goals and objectives. Place an ‘X” in the box before the applicable response. Are there goals and objectives for all training experiences? ( ) YES ( ) NO Are they rotation and level specific? ( ) YES ( ) NO How are they distributed? ( ) Hard Copy ( ) Electronic or web-based If not web-based, when are they distributed to fellows? ( ) Prior to Each Rotation ( ) Annually ( ) Once in Handbook ( ) Other If not web-based, when are they distributed to faculty? ( ) Prior to Each Rotation ( ) Annually ( ) Other If web-based, do you send out reminders to access them? ( ) YES ( ) NO If yes, when do you send them? 3. Conferences Have Conference Schedule Available For Review By Site Visitor. Do Not Append Conference Schedule. a) List regular subspecialty and interdepartmental conferences, rounds, etc., that are a part of the subspecialty training program. Identify the "SITE" by using the corresponding number as appears on the first and second pages of this form. Indicate the frequency, e.g., weekly, monthly, etc., and whether conference attendance is required (R) or optional (0). List the role of the fellow in this activity. (e.g., conducts conference, presents case and participates in discussion, case presentation only, participation limited to Q&A component, etc.) Conference Site # Frequency R/O Role of the Fellow b) Describe the mechanism that is used to assure fellow attendance at required conferences. State the degree to which faculty attendance is expected, and how this is monitored. Limit response to 50 words Pediatric Emergency Medicine Continued Accreditation 7
  • 10. 4. Scholarship Oversight Committee a) Is there a scholarship oversight committee for every fellow?........................( ) YES ( ) NO If yes, have names of committee members for each fellow available for site visitor confirmation. b) How often does the committee meet with the fellow?...............................# ( ) times per year c) Are there written guidelines outlining the responsibility of the oversight committee? If yes, have the guidelines available for site visitor confirmation...................( ) YES ( ) NO 5. Fellow Research Activities a) Describe how the program ensures a meaningful supervised research experience for the fellows, beginning in their first year and extending throughout their training. b). To enable the Committee to assess the scholarly environment of the program, provide a list of scholarly publications and presentations at regional, national and international meetings by fellows within the program for the last five years only. Do not duplicate citations. Underline the names of subspecialty fellows. List journal articles and presentations (abstracts, workshops, invited talks) separately under those headings. Pediatric Emergency Medicine Continued Accreditation 8
  • 11. THE RESIDENCY REVIEW COMMITTEE FOR EMERGENCY MEDICINE 515 N State, Ste 2000, Chicago, IL 60654 • www.acgme.org PROGRAM INFORMATION FORM - PEDIATRIC EMERGENCY MEDICINE (PART 3) FOR CONTINUED ACCREDITATION ONLY PROGRAM PERSONNEL AND RESOURCES (GPR III.C; PR III, V) A. Other Program Personnel Using a bulleted list below identify the non-physician personnel who contribute to the delivery of care in the ED and their interaction with the fellow: B. Resources (GPR III.D; PR VII) Provide the following information in full for each EM department with pediatric patients in which the fellows provide care . PEDIATRIC EMERGENCY CARE SERVICES Hospital 1 Hospital 2 Hospital 3 Number of pediatric patient care locations Number of pediatric critical/resuscitation rooms/beds Average number of pediatric patients seen in 24-hours Operating suite/room available on-site 24-hours (Yes/No) Pediatric intensive care beds available onsite (Yes/No) Comprehensive diagnostic imaging services available 24-hours (Yes/No) Urgent care/Fast track that is part of the emergency department (Yes/No) Observation beds (23 hour unit) within the emergency department (Yes/No) 1. If there is an urgent care/fast track area of the emergency department describe the role of the fellows in caring for those patients below: 2. If there are observation beds (23 hour unit) in the emergency department describe the role of the fellows in caring for those patients below: Pediatric Emergency Medicine Continued Accreditation 9
  • 12. I. PATIENT CARE A. Patient Population (GPR III.D.3; PR VI) Provide patient data in the table below. If more than 3 Emergency Departments are used, copy this page. Provide the requested information for the most recent 12-month period or academic year using the same time-frame for all patient and procedural data provided on subsequent pages. Inclusive Dates: From (mm/dd/yy): To (mm/dd/yy): Primary clinical site Site 2 Site 3 TOTAL # ED Patient visits (include urgent care/fast track if part of the ED) a) Total # of ED patients < 21 years (include urgent care/fast track if part of the ED) b) Number of ED patients < 21 years treated in urgent care TOTAL Number of Pediatric and adult EM patients by Clinical Condition. If the site(s) sees both children and adults in the ED, enter data in each column. Peds < 21 yrs Adult > 21 yrs Peds < 21 yrs Adult > 21 yrs Peds < 21 yrs Adult > 21 yrs a) Trauma b) Surgical (non-trauma) c) Medical d) Obstetrical/Gynecological e) Psychiatric Percentage of patients hospitalized following treatment (excluding pediatric ED observation beds) Percentage of ED patients admitted to CRITICAL CARE following treatment (excluding step-down units) Percentage of ED patients taken directly to the operating suite following treatment Number of deaths in ED (exclude patients who are DOA) 1. Describe how the Pediatric Emergency Department is part of an organized system for trauma care. Pediatric Emergency Medicine Continued Accreditation 10
  • 13. B. List of Diagnoses: Pediatric (<21 Years) (GPR III.D.3; PR, VI) List 150 CONSECUTIVE Emergency Department visits to the PEDIATRIC EMERGENCY MEDICINE service for four distinct time periods: beginning July 1, beginning October 1, beginning January 1, beginning April 1 of the most recent academic or calendar year. Identify the time period during which these visits occurred. The date range should occur within the same 12-month period used in section 13. The dates must begin on the date the first patient on the list was seen and end with the date the 150th patient was seen, e.g., July 1, 2007 through July 3, 2007. Provide a separate list for each time period in each hospital that provides required rotations. Hospital Name: Inclusive Dates: From (mm/dd/yy): To (mm/dd/yy): # Age PEDIATRIC EMERGENCY MEDICINE PRIMARY DIAGNOSIS SECONDARY DIAGNOSIS (INCLUDE IF RELEVANT) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Pediatric Emergency Medicine Continued Accreditation 11
  • 14. C. List of Diagnoses: Adult (> 21 Years) (GPR III.D.3; PR VI) List 150 CONSECUTIVE Emergency Department visits to the ADULT EMERGENCY MEDICINE service for four distinct time periods: beginning July 1, beginning October 1, beginning January 1, beginning April 1 of the most recent academic or calendar year. Identify the time period during which these visits occurred. The date range should occur within the same 12-month period used in section 13. The dates must begin on the date the first patient on the list was seen and end with the date the 150th patient was seen, e.g., July 1, 2007 through July 3, 2007. Provide a separate list for each time period in each hospital that provides required rotations. Hospital Name: Inclusive Dates: From (mm/dd/yy): To (mm/dd/yy): # Age PEDIATRIC EMERGENCY MEDICINE PRIMARY DIAGNOSIS SECONDARY DIAGNOSIS (INCLUDE IF RELEVANT) 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 Pediatric Emergency Medicine Continued Accreditation 12
  • 15. D. Prehospital Care (GPR V.D.1.a; PR III) 1. Is the primary clinical site a 911 receiving site? ( ) YES ( ) NO 2. Are any of the affiliated institutions paramedic base stations? ( ) YES ( ) NO 3. Does the program offer a specific EMS rotation? ( ) YES ( ) NO 4. Do fellows participate in disaster planning and drills? ( ) YES ( ) NO 5. Do fellows take calls for ground or air units requesting transport? ( ) YES ( ) NO E. Resuscitations (GPR V.D.1.a; PR III) Indicate the average number of resuscitations as well as those in which fellows actively participate by the time of graduation. Documentation will be reviewed by the site visitor. Number of Resuscitations * <2 Years Number by fellows 2-18 Years Number by fellows >18 Years Number by fellows Site #1 Site #2 Site #3 *Count cardiac and respiratory arrests, patients in respiratory distress who require intubation, those in shock who require large amounts of IV fluids or pressors, patients in status epilepticus who require airway management, patients with multi-system level I trauma that require a coordinated evaluation that includes airway control, etc. Indicate whether fellows are certified as: Provider (yes/no) Instructor (yes/no) PALS/APLS ACLS ATLS Pediatric Emergency Medicine Continued Accreditation 13
  • 16. F. Procedures (GPR V.D.1; PR III) Indicate which procedures are performed by fellows in your program. Documentation will be reviewed by the site visitor. Procedure Methods) for Teaching the Procedure (d=didactic, s=simulation, c=observed clinical care, o=other, specify) Method(s) of Competency Assessment (e.g. Structured observation checklist, Procedure log, Course completion, Global) Airway Management Endotracheal Intubation Cricothyrotomy Bag-Valve-Mask-Ventilation Rapid Sequence Induction Tracheostomy Tube Replacement Cardio-Pulmonary Thoracostomy (tube) Cardioversion/Defibrillation Conversion of SVT Intraosseous access and fluid administration Pericardiocentesis Central Venous Catheterization UVC Line Placement Cardiac Pacing: external Abdominal Peritoneal Lavage Gastric Lavage Gastrostomy Tube Replacement Special Procedures Lumbar Puncture Laceration Repair Vaginal Delivery Foreign Body Removal Procedural Sedation Incision and Drainage Nasal Packing Regional Nerve Blocks Slit Lamp Examination Orthopedic Closed Reduction and Splinting Arthrocentesis Dislocation Reduction Pediatric Emergency Medicine Continued Accreditation 14
  • 17. II. MEDICAL KNOWLEDGE A. Specialty Experiences (PR III) Identify the training sites (hospital #) and learning activities (clinical experience, conference series, journal club, tumor board, etc.) used to address the required core knowledge area. CORE CURRICULUM List in Bulleted Format the Learning Activities Used to Address the Core Knowledge Area List the Corresponding Setting in Which These Learning Activities Take Place Year(s) of Training Core Medical Knowledge EMSC • • • Administration • • • Legal issues • • • Procedures • • • Patient safety • • • Medical errors • • • Ethics and professionalism • • • Cardiopulmonary resuscitation • • • Trauma • • • Disaster and environmental medicine • • • Transport • • • Triage • • • Sedation • • • Emergencies arising from the following: Toxicologic causes • • • Obstetric causes • • • Gynecologic causes • • • Allergic/immunologic causes • • • Cardiovascular causes • • • Congenital causes • • • Dermatologic causes • • • Dental causes • • • Endocrine/metabolic causes • • • Gastrointestinal causes • • • Hematologic/oncologic causes • • • Infectious causes • • • Musculoskeletal causes • • • Neurologic causes • • • Ophthalmic causes • • • Psychosocial causes • • • Pulmonary causes • • • Pediatric Emergency Medicine Continued Accreditation 15
  • 18. Renal/genitourinary and surgical disorders • • • Physical and sexual abuse • • • Family-centered care and understanding the stress associated with sudden illness, injury and death • • • 1. Describe the four (4) months of reciprocal training in an ACGME Emergency Medicine Program for a pediatrics graduate. Include a letter of agreement between the pediatric emergency medicine program and the adult emergency medicine program. 2. Describe the four (4) months of reciprocal training in an ACGME Pediatrics Program for an emergency medicine graduate. Include a letter of agreement between the pediatric emergency medicine program and pediatric program. 3. Does the fellow develop competence in prioritizing and managing the emergency care of multiple patients?..............................................................................................................( ) YES ( ) NO 4. Identify the added responsibilities for patient care as the fellow progresses through the program. Include opportunities given to the fellow to demonstrate the skills appropriate to a supervisor, teacher, and a decision maker in pediatric emergencies. Use a bulleted list with a heading for year 1, year 2 and year 3. Pediatric Emergency Medicine Continued Accreditation 16
  • 19. If your program is a 3-year program accredited through the RRC for Pediatrics, respond to all of the following questions related to the competencies, including those in BOLD FONT. If your program is a 2- year program accredited by the RRC for Emergency Medicine you only need to complete the common or NON-BOLD questions. Examples of Learning Activities: didactic lecture, assigned reading, seminar, self-directed learning module, conference, small group discussion, workshop, online module, journal club, project, case discussion, one-on-one mentoring, or other examples of learning activities. III. PRACTICE-BASED LEARNING AND IMPROVEMENT 1. Describe one learning activity in which fellows engage to identify strengths, deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set learning and improvement goals; identify and perform appropriate learning activities to achieve self-identified goals (life-long learning). Limit your response to 400 words. 2. Describe one example of a learning activity in which fellows engage to develop the skills needed to use information technology to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients’ health problems. The description should include: a) locating information b) using information technology c) appraising information d) assimilating evidence information (from scientific studies) e) applying information to patient care Limit your response to 400 words. 3. Give one example and the outcome of a planned quality improvement activity or project in which at least one fellow participated in the past year that required the fellow to demonstrate an ability to analyze, improve and change practice or patient care. Describe planning, implementation, evaluation and provisions of faculty support and supervision that guided this process. Limit your response to 400 words. 4. Describe how fellows: a) develop teaching skills necessary to educate patients, families, students, and other residents; b) teach patients, families, and others; and c) receive and incorporate formative evaluation feedback into daily practice. (If a specific tool is used to evaluate these skills have it available for review by the site visitor.) Limit your response to 400 words. Pediatric Emergency Medicine Continued Accreditation 17
  • 20. 5. Describe the process for mentoring the fellows. Address the following items for each type of mentor if more than one is assigned to each fellow (i.e., if there is a separate research mentor). Describe (1) how mentors are selected, (2) how often the mentor meets with the mentee and (3) the guidelines that are provided for topics to be addressed during meetings between mentors and mentees. Limit your response to 150 words. 6. Outline the faculty development activities that are provided for acquainting the faculty with mentoring skills. Limit your response to 50 words. 7. Learning Plans Is each fellow required to have an individualized learning plan? (If yes, have learning plans available for site visitor verification.)..............................................................( ) YES ( ) NO a) Who provides guidance to the fellow in completing this plan (check all that apply)? ( ) No guidance, resident driven ( ) Fellow’s mentor ( ) Program Director ( ) Other (describe) b) How often are these plans developed or updated? ( ) Annually ( ) Semi- Annually ( ) Other (describe) 8. List the clinical quality improvement activities in which fellows actively participate and identify who guides them in this process. Limit your response to 150 words. 9. Using the bulleted list below (add bullets as needed) identify specific ways in which the program fosters reflection, self-assessment, and practice improvement for fellows. Limit your response to 150 words. Pediatric Emergency Medicine Continued Accreditation 18
  • 21. IV. INTERPERSONAL AND COMMUNICATION SKILLS 1. Describe one learning activity in which fellows develop competence in communicating effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, and with physicians, other health professionals, and health related agencies. Limit your response to 400 words. 2. Describe one learning activity in which fellows develop their skills and habits to work effectively as a member or leader of a health care team or other professional group. In the example, identify the members of the team, responsibilities of the team members, and how team members communicate to accomplish responsibilities. Limit your response to 400 words. 3. Explain (a) how the completion of comprehensive, timely and legible medical records is monitored and evaluated, and (b) the mechanism for providing fellows feedback on their ability to competently maintain medical records. Limit your response to 400 words. 4. How do fellows learn to achieve competence in conducting a family meeting to deliver critical/complex information about patient diagnosis, prognosis and /or treatment. Answer by using a specific example to illustrate. Limit your response to 150 words. 5. Describe (1) how the fellow’s written communication (including but not limited to progress notes, consults, and letters to referring physicians) is reviewed and (2) how feedback is given regarding its quality. Limit your response to 150 words. (1) (2) 6. Using the bulleted list below (add bullets as needed) identify the specific methods the program uses to ensure that fellows achieve competence in effective communication (verbal & written) in a consultative role with other physicians, health care workers and outside agencies. Limit your response to 150 words. • • Pediatric Emergency Medicine Continued Accreditation 19
  • 22. V. PROFESSIONALISM 1. Describe at least one learning activity, other than lecture, by which fellows develop a commitment to carrying out professional responsibilities and an adherence to ethical principles. Limit your response to 400 words. 2. How does the program promote professional behavior by the fellows and faculty? Limit your response to 400 words. 3. How are lapses in these behaviors addressed? Limit your response to 400 words. 4. Explain how the following contribute to the evaluation of professionalism: (1) patients/families, and (2) members of the health care team. Limit your response to 150 words. (1) (2) 5. Using the bulleted list below (add bullets as needed) identify specific methods the program uses to teach and evaluate the elements of professional competence. Limit your response to 100 words. • • Pediatric Emergency Medicine Continued Accreditation 20
  • 23. VI. SYSTEMS-BASED PRACTICE 1. Describe the learning activity(ies) through which fellows achieve competence in the elements of systems-based practice: work effectively in various health care delivery settings and systems, coordinate patient care within the health care system; incorporate considerations of cost- containment and risk-benefit analysis in patient care; advocate for quality patient care and optimal patient care systems; and work in interprofessional teams to enhance patient safety and care quality. Limit your response to 400 words. 2. Describe an activity that fulfills the requirement for experiential learning in identifying system errors. Limit your response to 400 words. a) Identify who guides/supervises fellows in this activity. Limit your response to 75 words. 3. Address how the elements of this competency are taught and how they are evaluated. System errors need not be addressed here. Limit your response to 200 words. 4. How does your program meet the requirement for exposure to administrative experience in the context of your subspecialty? Limit your response to 200 words. 5. Give an example of how fellows are expected to navigate the “system”, that is identify/access resources, make referrals, and coordinate services for patients within your subspecialty practice. Pediatric Emergency Medicine Continued Accreditation 21

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